Individual
DR. MICHAEL JEROME RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17027 SO HARLEM AVE, TINLEY PARK, IL 60477-2739
(708) 429-7878
(708) 429-7173
Mailing address
17027 SO HARLEM AVE, TINLEY PARK, IL 60477-2739
(708) 429-7878
(708) 429-7173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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